Prior Authorization Clerk

Location: N. Little Rock, AR
Date Posted: 07-11-2018
Part-time position, 30 hours per week.

Responsible for obtaining pre-certification and prior authorization numbers for surgical procedures.
Must interact with various insurances/third party payers accurately and timely to ensure authorization is obtained and documented; gathering and maintaining patient demographic and financial information when necessary.
Coordinate with scheduling, provider offices, and the billing department to facilitate proper reimbursement. Guarantee adherence to requirements, guidelines, and policies of various third party payers of precertification.
Requirements: High School diploma or equivalent. Knowledge of Medical Terminology, keyboarding skills, must be computer literate.
  • Related healthcare pre-cert and/or physician billing experience preferred.
  • Electronic Medical Records knowledge required.
  • Excellent communication skills, i.e. phone answering, etiquette, interpersonal skills, and exhibit customer service principles established by the department.
  • Must be self-directed and able to prioritize duties in fast paced environment.
  • Preferred Qualifications: Associates degree preferred or High school plus additional specialized training in insurance, coding, billing or similar healthcare certificate programs; prefer formal training in keyboarding, word processing, and patient scheduling, insurance verification systems as well as customer service.
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